| NPI | 1962681932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE EHRENBEIT Billing Manager 440-708-0598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-071457B) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |