| NPI | 1881068831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DIANE PENNINGTON Owner 440-552-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH NP-10349) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2016-02-09 |