| NPI | 1265258826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACRECHA NICHOLE MERRIMAN Executive Director 440-821-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-11-28 |
| Last Update Date | 2025-04-24 |