| NPI | 1881049856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W OLENIK CFO 216-903-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 1002003) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |