| NPI | 1376311431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY FASCIONE Nurse Practitioner 330-968-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |