| NPI | 1831343805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TATRO Chief Executive Officer 419-502-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2024-07-29 |