| NPI | 1871763656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANCIS SONG Owner 330-784-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OH 35035414) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |