| NPI | 1891064705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINO HERNANDEZ Operations Director 216-398-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |