| NPI | 1407603061 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | NATAJLIA BENN CEO 216-532-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2025-03-11 |