| NPI | 1710206917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE KONOPKA EVP Business Development 216-591-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2021-12-01 |