| NPI | 1407491566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BELL CFO 614-225-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2020-02-26 |