| Organization Name: | THE WINDHAM CLINIC, INC. |
| NPI Number: | 1982676821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES CHUNG PENG (PRESIDENT) |
| Mailing Address: | 9250 N Main St Windham |
| State: | OH US |
| Postal Code: | 442881058 |
| Phone Number: | 3303263666 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |