| NPI | 1487333191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESHA SHARAYE LINDSEY Doo/CEO 419-206-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |