| NPI | 1386151645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY VILLA CEO 440-324-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-12-02 |