| NPI | 1851105183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WOODARD Owner 216-820-5183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251T00000X PACE Provider Organization | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-17 |