| NPI | 1770968943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE VICTORIA SMITH Office Manager 330-456-3487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2025-04-17 |