| NPI | 1821466731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LANGE Controller 216-431-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 493564) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |