| NPI | 1366224503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MCCLAIN CEO 330-754-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2025-03-31 |