| NPI | 1497018022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANENE YOKOYAMA Billing Representative 440-602-6324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 0634) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |