| NPI | 1881049807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L. DAUGHERTY Executive Director 440-286-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 12520) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-04-02 |