| NPI | 1073873923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN RAY BOWEN Operations Officer 330-264-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 1537) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 1537) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2014-11-17 |