| NPI | 1558534800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GUERRERO Billing Clerk 330-399-6451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I. 0004841) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |