| NPI | 1437791977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO CONIGLIO Owner 330-969-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |