| NPI | 1629001920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUETA A OSBORNE Billing Manager 216-283-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 289) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-01-24 |