| NPI | 1831295450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY C ELLIOTT Executive Director 740-420-8078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35054838) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |