| NPI | 1770282220 |
|---|---|
| Former Legal Business Name | YOUR PRECIOUS DREAMS LLC INC |
| Entity Type | Organization |
| Authorized Contact | ANTWAUN MARTIN Director 440-570-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 273Y00000X Rehabilitation Unit | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2024-12-17 |