| NPI | 1598581274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HAWKINS Resident Coordinator 440-241-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |