| NPI | 1346417417 |
|---|---|
| Doing Business As | CENTER STREET COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CLIFF G EDWARDS CEO/Executive Director 740-751-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2015-01-21 |