| NPI | 1174074983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACELIA LEMON Owner 216-848-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH C 1000473) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |