| NPI | 1699392084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A GALLAGHER Director, Professinal Affairs 216-778-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2021-09-09 |