| NPI | 1417958729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANN PETERS Business Office Manager 440-205-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0404AS) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-12-31 |