| NPI | 1316148745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN THERRIEN Executive Director 216-281-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-05-01 |