| NPI | 1720490956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RICHARDSON CEO 330-548-0958 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2017-10-26 |