| 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 |