| NPI | 1396460432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEE LYNN JOHNSON Owner 330-318-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |