NPI | 1700639358 |
---|---|
Doing Business As | GORDON SQUARE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DERRICK HOLLINGS EVP/CFO 216-778-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-05-09 |