| NPI | 1215764352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA M PAYNE Director Of Operation 216-978-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 385HR2050X Respite Care Respite Care Camp |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 251E00000X Home Health | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |