| NPI | 1275598419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BAZIE Executive Director 216-421-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-10-16 |