| NPI | 1780313866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M MASON Owner 330-692-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |