| NPI | 1255819504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI M BARNES Founder 216-387-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2019-10-16 |