| NPI | 1740451756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINTAUTAS Z. SABATAITIS President 440-845-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 1436) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |