| NPI | 1306885256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MALIK Administrator 330-966-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH PENDING) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-01-27 |