| NPI | 1306205810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN E YOUNG Executive Director 937-548-3806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2017-04-05 |