| NPI | 1396196077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OWEN PHILLIPS Counselor/Case Manager 216-351-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: OH 120988) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |