| NPI | 1366143042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESHAYA FISHMAN Director 216-455-7201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2024-04-03 |