| NPI | 1417266537 |
|---|---|
| Doing Business As | HEALTHSOURCE: WILMINGTON |
| Entity Type | Organization |
| Authorized Contact | JOSEPH W PRATHER II CEO 513-707-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2024-09-18 |