| NPI | 1730541681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONAVON HUFF Owner/President 216-261-6398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OH 3875349) |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-22 |