| NPI | 1447969241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Accounting Officer And Contro 216-636-7416 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |