| NPI | 1144302795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY UHLAND Executive Director 216-231-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 1077) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |