| NPI | 1376802249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J BROWNE CFO 216-320-8221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: OH 0009) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 0009) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 0009) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-17 |