| NPI | 1497993091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MCCALL Clinical Social Social Worker 216-475-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OH C 0012407) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: GA LPC005232) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |