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 |