| NPI | 1336581834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA R GOODWIN Owner 614-537-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2022-06-21 |