| NPI | 1366761397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA J. MESHEKOW Administrator 330-309-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2011-03-30 |