| NPI | 1659976173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN SCHERER Medical Billing Coordinator 614-340-6723 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |