| NPI | 1841090941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JARRELL Administrator 440-523-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |