NPI | 1922654276 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISITNE JORDAN Clinical Director 216-906-1117 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2019-08-13 |