| NPI | 1154815454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA N ZAMA COO 216-502-1535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-12-01 |