| NPI | 1215989298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Acct Office & Controller, Ccf 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-03-07 |