| NPI | 1184831778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE JACKSON President 216-751-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |