| NPI | 1700815552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID G LABABIDI President 330-208-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0781AS) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2019-02-25 |