| Organization Name: | AFRICENTRIC PERSONAL DECELOPMENT SHOP |
| NPI Number: | 1104885045 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY SAUNDERS (PRESIDENT & CEO) |
| Mailing Address: | 1409 E Livingston Ave Columbus |
| State: | OH US |
| Postal Code: | 432052926 |
| Phone Number: | 6142534448 |
| Fax Number: | 6142538781 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 02915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |