| NPI | 1942445309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY WILLIAMS CLARKE President 330-834-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 34007798) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |