| NPI | 1487953105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE PRICE Owner 330-858-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 3062493) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |