| NPI | 1871803767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L GROVES Office Manager 440-352-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2011-02-02 |