| NPI | 1164972519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID MAHMOUD President 419-517-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OH 35081650) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2021-01-13 |