| NPI | 1356512776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH M WHITE Office Manager 440-998-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35064555) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |