| NPI | 1740373992 |
|---|---|
| Other Name | IWO-SAN |
| Entity Type | Organization |
| Authorized Contact | MICHELLE BURLEY-KEYS Executive Director 216-231-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |