| NPI | 1811349111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANNE BROWN Pharmacist 513-588-8872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: OH 03334588-3) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-11-14 |