| NPI | 1508261959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES TONG CFO 216-707-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2022-07-21 |