| NPI | 1336106459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP G MAIDEN Owner 330-758-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35063252M) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |