| NPI | 1093044331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROBERTS Executive Director 740-289-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2013-02-12 |