| NPI | 1750176590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DALTON CEO 216-410-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TH0004X Psychologist, Health |
| 207QA0505X Family Medicine, Adult Medicine | |
| 103TC1900X Psychologist, Counseling | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-10-28 |