| NPI | 1437539517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMONIC M HOPSON CEO 216-302-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-07-01 |