| NPI | 1942504089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DWINNELLS CEO 330-747-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2017-12-14 |