| NPI | 1366913808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH HALL General Counsel 216-320-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2026-02-04 |