| NPI | 1972195428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TAMUNOH TEBOH CEO 216-544-5418 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |