| NPI | 1891865366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL E KLINE Contract Credentialing 330-829-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 35047526S) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |