| NPI | 1457631582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LENZY Executive Director 330-685-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 13009) |
| Enumeration Date | 2011-08-20 |
| Last Update Date | 2011-08-20 |