| NPI | 1750301511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MEANS Office Manager 330-494-7302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-03-12 |