| NPI | 1588326029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ATKINSON CFO 740-891-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-01-10 |