| NPI | 1265724108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISA RUIZ Cpst Specialist 216-402-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH C.000002) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |