| NPI | 1457676736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA EVANGELISTA CEO 740-277-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2023-07-17 |