| NPI | 1467916809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MILLER CEO 216-402-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |