| NPI | 1427565514 |
|---|---|
| Former Legal Business Name | THE FREE MEDICAL CLINIC OF GREATER CLEVELAND |
| Entity Type | Organization |
| Authorized Contact | KELLI BLACK Advanced Billing Specialist 216-721-4070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |