| NPI | 1043340946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANT S. CHOURE Physician 440-992-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 85719) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |