| NPI | 1518225473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY REGAL Chief Executive Officer 440-998-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |