| NPI | 1174572606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE COSTARAS President 440-366-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0775AS) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2009-12-04 |