NPI | 1770968943 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY 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 | 2015-07-30 |