| NPI | 1831740406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY T CLARK Certified Nurse Practitioner 216-496-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |