| NPI | 1235351727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMO B LOCKWARD Owner 330-965-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35071065) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |