| NPI | 1457926537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN C CANNONE Owner 330-328-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-11-26 |