| NPI | 1518395029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE E ELMORE Executive Director 216-228-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2015-01-08 |