| NPI | 1881953297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLE POLO Provider Enrollment 440-234-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-18 |