| NPI | 1952926370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ALLAN CARLETTI VP Operations 330-727-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2023-08-22 |