| NPI | 1740837160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA FOSTER President/CEO 330-957-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-02-10 |