| NPI | 1629520754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN DALE President Executive Director 216-404-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 1.1302427) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |