| NPI | 1497801237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Acct. Officer And Controller 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0705AS) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-03-30 |