| NPI | 1962235580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE D DAVIS CEO 216-659-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 175T00000X Peer Specialist | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-10-04 |