| NPI | 1225800642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ROBINSON Doo 440-231-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |