| NPI | 1245347285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE SUE CRAIN Office Manager 330-564-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35062167D) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35064327) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |