| NPI | 1013109719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNG JIN EL-MALLAWANY Md 440-349-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 35.041711) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |