| NPI | 1871161539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN R HEWITT President 330-345-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |