| NPI | 1467886838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACHELLE GIORDON Credentialing Specialist 330-723-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2014-03-31 |