| NPI | 1447342696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIOBHAN MALAVE Clinical Director 216-459-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 13366) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 00978) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2025-09-03 |