| NPI | 1003358045 |
|---|---|
| Other Name | PILGRIM SULLIVANT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALEXANDER Medical Director 614-272-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2017-04-24 |