| NPI | 1194095893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN DRAKE Owner 216-754-0615 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: OH EXEMPTION/ CLERGY) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: OH EXEMPTION) |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 252Y00000X Early Intervention Provider Agency (Licence: OH EXEMPTION) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-03-14 |