| NPI | 1912138157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE ETNA THORNTON CEO 330-782-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH RN245640) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: OH RN245640) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |