| NPI | 1508549395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J BOROSKI Executive Director 330-343-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-09-28 |