| NPI | 1356376917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE W FULLER Physician 330-864-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 8780) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-02-18 |