| NPI | 1992055941 |
|---|---|
| Doing Business As | VANGUARD CREWCARE CENTER |
| Doing Business As | VANGUARD CHARLOTTE |
| Entity Type | Organization |
| Authorized Contact | JON LEIZMAN President 216-479-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2022-08-24 |