| NPI | 1417784661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN NICHOLS Sr VP Of Revenue Operations 330-536-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |