NPI | 1982054458 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR OWEN PHILLIPS Counselor/Case Manager 216-351-3833 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 120988) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 120988) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2017-12-28 |