| NPI | 1821581786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA VIOLA SAMPSON Owner 216-346-8608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-03-04 |