| NPI | 1700503364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH LANIER Administrative Assistant 216-260-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |