NPI | 1811221187 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGY SHAFERLY Owner 419-672-8981 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 35056199) |
Enumeration Date | 2009-09-19 |
Last Update Date | 2009-09-19 |