| NPI | 1831666965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D PORTER CFO 216-281-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2022-01-21 |