| NPI | 1144594813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON JOHN THOTTAM President 330-492-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 037564) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |