| NPI | 1679506646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL A MACEY Executive Director 440-246-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 2515) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |