| NPI | 1841775830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GEIGER Chief Financial Officer 330-596-7528 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |