| NPI | 1568173193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY SUE RINEHART CEO 614-685-9994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-10-27 |