| NPI | 1013106467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREEDAH ZAKIYYAH GOODWIN President 330-856-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 85291) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2011-01-12 |