| NPI | 1912574989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER T TEBOH President/CEO 216-544-5418 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |