| NPI | 1861201535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY SUE RINEHART CEO 937-631-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-04-08 |