| NPI | 1306298195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BYUN CEO 330-535-3263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2017-01-16 |