| NPI | 1568002608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN CLIFTON SPELLMAN Md, Owner 330-531-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |