| NPI | 1053141119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J ATKINSON CEO 740-891-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |