| NPI | 1396702445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WARIX Executive Director 937-393-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-03-01 |