NPI | 1720289903 |
---|---|
Doing Business As | CANTON COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | PENNY A GEMBAROSKY Chief Financial Officer 330-454-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2008-05-08 |