| NPI | 1245747450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HARRIS CEO 216-965-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-03-23 |