| NPI | 1295075018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GALLEGOS Billing Manager 440-871-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 6889) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2023-05-31 |