| NPI | 1427567445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY VILLA President 440-324-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine Addiction Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2018-03-17 |