| NPI | 1295525046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA LYNN WITHERS Nurse Practitioner/ CEO 330-420-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |