| NPI | 1164704995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS LACSAMANA Head Athletics Trainer 216-687-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |