| NPI | 1689769572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M CASANOVA Authorized Official 330-494-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-01-13 |