| NPI | 1407780505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EUGENE TUCKER Owner 216-773-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |