| NPI | 1619715497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MEEHAN Director Of Finance/Hr 330-345-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |