| NPI | 1639968688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANEENE MCCALL Director 440-787-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 347C00000X Private Vehicle | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM1103X Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable) | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |