| NPI | 1477623981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY J BLACK Chief Operating Officer 216-431-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 06955) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |