| NPI | 1154714400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA EVANGELISTA CEO 740-277-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2023-07-17 |