NPI | 1649672106 |
---|---|
Former Legal Business Name | CIELO VITALITY HEALTH & WELLNESS CENTER LLC |
Entity Type | Organization |
Authorized Contact | DONAVON HUFF VP. Of Operations 216-261-6398 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2014-09-16 |
Last Update Date | 2014-10-23 |