| NPI | 1124434378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SOMMERS Director Of Clinical Services 330-202-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH E0500613. SUPV) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |