NPI | 1770964850 |
---|---|
Doing Business As | ROCKING HORSE CENTER |
Entity Type | Organization |
Authorized Contact | SHONDA WALLACE Chief Financial Officer 937-324-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2020-12-11 |