| NPI | 1417407941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY RAMOS Program Coordinator 440-628-8123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH S.1440394) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |