| NPI | 1396093597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE F. AUSTIN President And CEO 216-231-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |