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 |