| NPI | 1295167682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY TILLEY Director 216-521-6511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH S.1302859) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |