| NPI | 1730847161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRAE D MAZE Operations Manager 216-287-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |