| NPI | 1629717772 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ASHLEE MITCHELL CEO 440-832-1983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| 251B00000X Case Management | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-01-04 |