| NPI | 1942634829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LEE RAMBAUD Owner 330-316-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 13285) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |