| NPI | 1447451604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MATONEY Executive Director 216-591-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |