| NPI | 1942397591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH CARNES Director 330-297-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: OH 0453049) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |