| NPI | 1376435552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIANA DAVIS Program Coordinator 614-218-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |