| NPI | 1326654740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETIA TAYLOR Social Worker 216-266-7089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |