| NPI | 1679992226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HLAVAC CFO 216-504-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN-359342) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |