| NPI | 1942637491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ANTHONY CAPEZZUTO Executive Director 440-734-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 12927) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH 13326) |
| 251S00000X Community/Behavioral Health (Licence: OH 13325) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |