| NPI | 1578742722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELAIINE MITCHEN Office Manager 330-762-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 36041) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-12-07 |