| NPI | 1689186769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEIR KASNETT Owner 216-372-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2019-11-09 |