| NPI | 1679593602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD SCOTT Practice Manager/Ambulatory Care 330-480-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH NP006248) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-01-26 |