| NPI | 1245689041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE SHEPHERD Residential Advocate/Facilitator 216-459-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 130543) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |