| NPI | 1639626203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANA LACIENCE DUNCAN Independent Provider 216-242-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |