| NPI | 1780747741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHARLES HAUN President 330-856-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35067361) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-07-02 |