NPI | 1942291794 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A BRIDENBAUGH Chief Executive Officer 740-773-4366 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-11-01 |
Last Update Date | 2014-02-21 |