| NPI | 1639413453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANRAE J ONYENEKE President 216-666-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2024-11-11 |