| NPI | 1285105254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RICHARDSON CEO 330-564-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |