| NPI | 1275816688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J OROS Member 330-913-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35.094367) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.094367) |
| 208D00000X General Practice (Licence: OH 35.094367) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2021-10-17 |