| NPI | 1184121238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN MADDOX CFO 513-961-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-08-13 |