| NPI | 1700058237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HINES Family Medicine Program Director 330-375-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 57-012304) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OH 57-012304) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |