| NPI | 1225805906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS BIBB Professional Development Manager 216-299-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QM2800X Clinic/Center Methadone | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 261QR1100X Clinic/Center Research | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 174400000X Specialist | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 208D00000X General Practice | |
| 225800000X Recreation Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2025-05-25 |