| NPI | 1972368678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANN FRANCES WINN Owner 330-573-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |