| NPI | 1790095297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANCE BUTTS Executive Director 216-641-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 1457028) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-29 |