| NPI | 1407586019 |
|---|---|
| Doing Business As | ADIDAS SPG HEALTH CENTER DC2 |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEIZMAN Director 216-479-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-08-23 |