| NPI | 1245930635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDA PUGH Executive Director 216-623-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |