| NPI | 1417373705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PENMAN CPO 216-325-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 03120490) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |