| NPI | 1952903239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WARD Director/Member 440-417-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |