| NPI | 1871574145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA M. PEREZ Business Office Manger 419-882-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0091AS) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2008-06-19 |