| NPI | 1750911376 |
|---|---|
| Doing Business As | STELLA MARIS |
| Entity Type | Organization |
| Authorized Contact | SANDY GACEK Emr Administrator 216-727-2086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |