| NPI | 1649250218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SIKORA Clinical Director 440-245-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0761AS) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |