| NPI | 1902279094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE THORN President 330-754-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |