| NPI | 1922533504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SHURILLA Clinical Director 216-658-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH S1500608) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |