| NPI | 1366973414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA YVETTE NEAL Staff Nurse 216-651-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH RN322679) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |