| NPI | 1194229427 |
|---|---|
| Doing Business As | KTA MAT & RECOVERY |
| Entity Type | Organization |
| Authorized Contact | KEVIN TRANGLE Owner 216-504-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-12-05 |