| NPI | 1154562544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHUTE Executive Director 440-426-2000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 488) |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2021-08-26 |