| NPI | 1598573479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY GOLDRICK Credentialing Specialist 216-820-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-03-04 |