NPI | 1356612261 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS ANTHONY ATANASOFF Medical Director 330-259-4849 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Enumeration Date | 2012-01-24 |
Last Update Date | 2023-11-07 |