| NPI | 1801053111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL E. GORDILLO President 440-835-6189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 028854) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |