| NPI | 1316340458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN HOVANEC Pmhnp/Owner 440-867-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH COA.16196) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-11-07 |