| NPI | 1831624519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SHURILLA Director Of Clinical Services 216-619-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1600024) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |