| NPI | 1043083751 |
|---|---|
| Other Name | CRIS |
| Entity Type | Organization |
| Authorized Contact | TRACY CLOUD CEO 614-274-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |