| NPI | 1457015091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN NICHOLS SVP Of Revenue Operations 330-319-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2025-07-15 |