| NPI | 1649661687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHAB SARGIOUS Medical Director 330-393-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: OH 03221601) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |