| NPI | 1710506118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BROOKS Managing Director 216-372-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |