| NPI | 1144774514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M BABIENCO Center Director 937-393-8426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-09-12 |