| NPI | 1912715897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PALMUCCI CFO/CEO 419-626-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |