| NPI | 1659146884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN PAULO AFABLE CEO 330-363-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-12-22 |