| NPI | 1811675747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIJUAN DOW Consultant 216-849-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |