| NPI | 1902115454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE KAVANAGH Office Manager 330-393-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2011-08-26 |