| NPI | 1275957557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA S VALLANGEON CEO 614-274-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-08-22 |