| NPI | 1316935265 |
|---|---|
| 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 | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 1041C0700X Social Worker, Clinical | |
| 1223G0001X Dentist, General Practice | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 213E00000X Podiatrist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2024-10-15 |