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 |