Organization
MY COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PAULO AFABLE (CEO)
(330) 363-3786
Entity
Organization
Contact information
Practice address
1318 GONDER AVE SE UNIT 1, CANTON, OH 44707-3450
(330) 639-1071
(330) 639-1072
Mailing address
2600 7TH ST. SW, CANTON, OH 44710
(330) 363-2218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
12/22/2023
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