| NPI | 1396100665 |
|---|---|
| Doing Business As | PREMISE HEALTH WELLNESS CENTER - BRENTWOOD NEARSITE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEIZMAN President 216-479-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2022-09-15 |