| NPI | 1164237053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT LETANG Owner/Director 216-209-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |