| NPI | 1588298285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L. LONGVILLE Chief Acct Office & Controller, Ccf 216-636-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 174400000X Specialist |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 208D00000X General Practice | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-02-06 |