NPI | 1548214935 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER RICHARDSON CEO 330-724-5471 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-10-26 |