| NPI | 1205053709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVEDUL HAQUE Medical Director 330-361-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35081681) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-24 |