| NPI | 1801025127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE KATHERINE CORN CEO/ Founder 330-459-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 200917501226) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |