| NPI | 1841780863 |
|---|---|
| Doing Business As | CAA EAST LIVERPOOL CAMPUS BLDG 2 |
| Doing Business As | CAA CAMPUS BUILDING #2 |
| Entity Type | Organization |
| Authorized Contact | JENNA WONNER COO 330-424-7221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-09-11 |