| NPI | 1265898134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREKIA MAHONE CEO 440-506-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: OH 401114940710) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |