| NPI | 1154962918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Accounting Officer/Controller 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-09-17 |