| NPI | 1861665606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA E CHRISTIE Medical Assistant 330-864-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OH 35-04-9231) |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain (Licence: OH 35-04-9231) |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: OH 35-04-9231) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2009-11-11 |