| NPI | 1013034206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELIA SLAGA Owner 330-837-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35-100320) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-03-17 |