| NPI | 1255736450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA O'KEEFE COO 330-787-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-04-16 |