| NPI | 1588730402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA A IRVING-RAY CEO 513-221-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2011-04-05 |