| NPI | 1033455894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRDINA LAFAYE GOLSON Partner 216-258-2597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH 348737) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |