| NPI | 1982488375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CALLOWAY Director 216-926-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-29 |