| NPI | 1750655478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN MADDOX CFO 513-961-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-08-13 |