| NPI | 1861017683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LONARDO Executive Director 330-716-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2022-10-05 |