| NPI | 1962034439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUISHA LEILANI WHITE-ADAMS Executive Administrator 216-280-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-06-09 |