| NPI | 1154461374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE J BRADLEY Administrative Assistant 440-992-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-06-17 |