| NPI | 1770854473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA S VALLANGEON CEO 614-272-7639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-10-30 |