| NPI | 1366998106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLISE NICOLE WASHINGTON Aprn 216-577-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: OH aprn.cnp.019801) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |