NPI | 1679724884 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULINE HELEN MILOVANOVIC Office Manager 216-221-5901 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35057882) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2011-12-06 |