| NPI | 1760782239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY J MAGGIANO Md 330-856-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35065705) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |