| NPI | 1114639424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE JENKINS Manager 440-809-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-11-30 |