| NPI | 1013070374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BOYD ROBERTS Owner 614-221-6870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 35067569R) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-09-30 |