| NPI | 1437904687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA TYSON Executive Director 216-905-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-25 |