NPI | 1952904286 |
---|---|
Doing Business As | WL SALEM HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TARA DAWN BAIR CEO 937-599-1411 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-11-19 |
Last Update Date | 2020-11-19 |