| NPI | 1568161420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M PALITTO Physician Owner 330-329-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 363L00000X Nurse Practitioner | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-12-18 |