NPI | 1982464343 |
---|---|
Entity Type | Organization |
Authorized Contact | KEISHLA MARIE PEREZ RODRIGUEZ CEO 440-654-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QP2300X Clinic/Center, Primary Care | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-03-21 |