| NPI | 1710624770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHELLE BLOODWORTH CEO 216-413-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 342000000X |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-03-21 |