| NPI | 1730397282 |
|---|---|
| Former Legal Business Name | FREE CLINIC OF LAKE COUNTY |
| Entity Type | Organization |
| Authorized Contact | ANNATONIA K FETZER Executive Director 440-352-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-12-11 |