| NPI | 1912232182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EISENBERG Secretary 330-493-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2023-01-09 |