| NPI | 1326410788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA L. JONES Provider 330-247-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 2864324) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |