| NPI | 1841735446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEE CEO 440-953-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |