| NPI | 1255539631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLUS GILREATH Physician 216-921-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OH 35059795) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-09-26 |