| NPI | 1376050542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARTIN THORNTON CEO 216-374-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-03-15 |