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 |