| NPI | 1376706291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMINO CORTES Program Director 440-843-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: OH I.0008678) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |