NPI | 1689148108 |
---|---|
Doing Business As | CAA HEALTH, BEHAVIORAL HEALTH AND DENTAL CENTER, BLDG #1 |
Doing Business As | CAA EAST LIVERPOOL CAMPUS BLDG 1 |
Entity Type | Organization |
Authorized Contact | JENNA WONNER COO 330-424-7221 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-01-17 |
Last Update Date | 2020-09-11 |