NPI | 1023865151 |
---|---|
Entity Type | Organization |
Authorized Contact | KINGSLEY EYONG ENOW Nurse Practitioner 614-715-8216 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-05-06 |
Last Update Date | 2024-05-06 |