| NPI | 1154706745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN COLECCHI CEO 330-297-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OH COA.17631-NP) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |