| NPI | 1518987361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MCGRATH Credentialing Coordinator 330-479-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-09-08 |