| NPI | 1548289788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L RILEY Executive Director 330-375-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34006465) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |