| NPI | 1841569902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. GINA REGHETTI Physician/Surgeon 330-847-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OH 34-006816-R) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 34-006816-R) |
| 261QH0100X Clinic/Center, Health Services (Licence: OH 34-006816-R) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 34-006816-R) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 34-006816-R) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: OH 34-006816-R) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OH 34-006816-R) | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2023-03-07 |