| NPI | 1356118905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L NALLS Founder/CEO 419-902-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |