| NPI | 1811940026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L GORMSEN President 330-492-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: OH 780971) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-10-23 |