| NPI | 1912094145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SEMANCIK Administrative Director 330-677-3628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |