| NPI | 1902081862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN WEBBER Billing Manager 440-543-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35057452S) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |