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 Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-03-15 |