| NPI | 1699662536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MOORE Owner 216-780-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |