| NPI | 1164068524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENISHA GANT Chief Executive Officer 216-441-2496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2024-04-26 |