| NPI | 1437418092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY K TRUBISKY President/CEO 330-454-7066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 10023, 12456, 12457) |
| Additional Taxonomies | 251S00000X (Licence: OH 10023) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |