| NPI | 1841164365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA SUE GALLAGHER Vice President 330-259-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |