| NPI | 1134649676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA NWORIE Chief Operating Officer 216-663-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |