| NPI | 1619568524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MCFARLANE-EL CEO 937-734-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-06-30 |