| NPI | 1912641481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA HART-TYNER Nurse Practitioner/Owner 216-413-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2023-02-20 |