| NPI | 1619422052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY MELEWSKI Hr Consultant 216-791-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: TX AP131253) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |