| NPI | 1346883717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY KING CEO 216-232-5302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-10-06 |