NPI | 1063653871 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L. WATTS Owner & Manager 440-409-8690 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I-1101288) |
Enumeration Date | 2009-03-09 |
Last Update Date | 2012-10-09 |