| NPI | 1144572777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTI MOUNCEY Vice President Of Client & Clinical 216-619-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH I0700212) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |