| NPI | 1548585953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN RANDALL CFO 513-454-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2023-11-03 |