| NPI | 1538803218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERINA NICOLE WOODALL Clinical Director 216-406-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-04-27 |