| NPI | 1306835210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DWINWELLS CEO 330-747-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 101Y00000X Counselor | |
| 103G00000X Clinical Neuropsychologist | |
| 1041C0700X Social Worker Clinical | |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2024-10-15 |