| NPI | 1306661699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALLI MANGO Director 216-358-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |