| NPI | 1053838912 |
|---|---|
| Doing Business As | PREMISE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JON LEIZMAN President 216-479-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2023-08-23 |