NPI | 1801678420 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHANIEL DANTE HASKINS Executive Director 440-813-6403 |
Organization Subpart ? | No |
Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
Enumeration Date | 2023-10-18 |
Last Update Date | 2023-10-18 |