NPI | 1033437702 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD DWINNELLS CEO 330-747-2330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 213E00000X Podiatrist |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
101YM0800X Counselor, Mental Health | |
103G00000X Clinical Neuropsychologist | |
1041C0700X Social Worker, Clinical | |
1223G0001X Dentist, General Practice | |
Enumeration Date | 2010-05-05 |
Last Update Date | 2017-12-14 |