| NPI | 1144589193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA SUE VALLANGEON CEO 614-272-7639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |