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 |