| NPI | 1962880823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA VALLANGEON CEO 614-274-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |