| NPI | 1063556884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME WILLIAMS Medical Director 216-881-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 35 55749 w) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |