| NPI | 1447518782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUETA OSBORNE Billing Manager 216-283-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 289) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |