| NPI | 1407380017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GLENN MEYER President 863-701-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35.129976) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |