| NPI | 1801353073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BALDWIN Owner 330-937-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |