| NPI | 1700639119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYNISHA GRIMES President 216-355-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 174200000X Meals |
| 251V00000X Voluntary or Charitable | |
| 305S00000X Point of Service | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |