| NPI | 1497151112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J BROWNE CFO 216-320-8221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: OH 12-1946) |
| Additional Taxonomies | 251X00000X Supports Brokerage (Licence: OH 12-1946) |
| 261QD1600X Clinic/Center Developmental Disabilities (Licence: OH 12-1946) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: OH 12-1946) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 12-1946) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: OH 12-1946) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: OH 12-1946) | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: OH 12-1946) | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child (Licence: OH 12-1946) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |