| NPI | 1770783433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BINNS Director Of Finance 330-379-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |