| NPI | 1205337565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH JOHNSON General Counsel 216-320-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 01-0009) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH 2447) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |