| NPI | 1679273056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A MARSHALL CFO 330-315-3708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |