| NPI | 1164904843 |
|---|---|
| Doing Business As | ONEEIGHTY |
| Entity Type | Organization |
| Authorized Contact | BOBBI DOUGLAS Executive Director 330-264-8498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 34.010211) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |