| NPI | 1730409400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE JOHN KELLIS President 440-285-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH PENDING) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 0979AS) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2023-04-25 |