| NPI | 1164918413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA NWORIE COO 216-417-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 01-7627) |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2021-01-04 |