| NPI | 1285492991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL ANTONIO CORREA Executive Director 216-417-4831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |