| NPI | 1083881114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE JONES Chief Executive Officer 216-535-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: OH 847979) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: OH 847979) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2023-03-09 |