| NPI | 1275272346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA S MOORE Execuitve Director 216-404-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |