| NPI | 1013573674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL KAPPENHAGEN Owner 216-356-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2019-05-18 |