| NPI | 1255989554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI GROSSMAN Executive Director 330-923-4009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |