| NPI | 1043373152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SPONSELLER Managed Care Coordinator 330-945-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-06-02 |