NPI | 1730722570 |
---|---|
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 | 2019-10-24 |
Last Update Date | 2019-10-24 |