| NPI | 1912017500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JEROME WASHINGTON President 216-382-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 697760) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-02-23 |