NPI | 1093250169 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN LEE CEO 440-953-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2016-12-28 |