| NPI | 1033135009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Acct. Officer And Controller 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-03-30 |