| NPI | 1295052603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DONALD COLEMAN Physician/Owner 330-848-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OH 35052048) |
| Enumeration Date | 2010-04-24 |
| Last Update Date | 2010-04-24 |