| NPI | 1699816884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MICHAEL BODJANAC Medical Director 330-723-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-02-22 |