| NPI | 1144470634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI TEKILA GAMBLE Licensed Practictio 216-441-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OH 130161) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |