| NPI | 1841752151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CASSELBERRY Tax Id Owner 440-995-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |