| NPI | 1083895460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA ROTH President 330-864-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35-06-6638r) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |