| NPI | 1457505968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE B DALTON CEO/President 330-996-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 9928171) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |