NPI | 1275263501 |
---|---|
Doing Business As | ADIDAS SPG HEALTH CENTER DC1 |
Entity Type | Organization |
Authorized Contact | JON LEIZMAN Director 216-479-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-06-10 |
Last Update Date | 2022-08-23 |