| NPI | 1154872166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE RUCH Executive Director 419-304-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2021-03-17 |