| NPI | 1558451583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE THEODOSOPOULOS Chief Clinical Officer 330-260-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-02-27 |