NPI | 1285474346 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM NUTT Chief Financial Officer 419-841-7701 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-05-28 |
Last Update Date | 2024-05-28 |