| NPI | 1356604680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RICHARDSON CEO 330-564-2697 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2017-10-26 |