NPI | 1457547119 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN P. ROBINSON President 330-733-4031 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 34003721) |
Enumeration Date | 2007-09-17 |
Last Update Date | 2007-09-17 |