| NPI | 1033328422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA BROOK Health & Nutrition Service Director 440-998-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-06-08 |