| NPI | 1902692833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J BOROSKI Executive Director 330-343-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-18 |