| NPI | 1043891153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ARMSTRONG Billing Director 614-274-1455 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-10-18 |