| NPI | 1770282220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAUN MARTIN Owner / Predident 216-867-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-24 |