| NPI | 1245580307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ELLEN MARK Counselor 216-432-0682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH S0009131) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |