NPI | 1942637491 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW ANTHONY CAPEZZUTO Executive Director 440-734-4037 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: OH 12927) |
Additional Taxonomies | 251S00000X (Licence: OH 13326) |
251S00000X (Licence: OH 13325) | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2013-09-30 |