| NPI | 1558610063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J HEIKS Sole Member 330-466-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 35097870) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2014-10-21 |