| NPI | 1417118290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID EVERHART Compliance Manager 614-859-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2019-02-05 |