| NPI | 1750783767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCH TROUT Owner 440-624-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 13184) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |