| NPI | 1134809429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONIA NDALI CHUKWUDELUNZU Manager 216-854-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center Health Service | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |