| NPI | 1326237140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA D. BURGESS Practice Administrator 440-919-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35036076C) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-08-21 |