| NPI | 1285381889 |
|---|---|
| Doing Business As | CLEVELAND/BEACHWOOD |
| Entity Type | Organization |
| Authorized Contact | AUSTIN GEORGE BENAMON CEO 866-806-5347 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |