| NPI | 1396429122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN MARINI-REINOSA Program Director 440-468-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-07-22 |