| NPI | 1043946163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENESTINE AZENKENG TASONG Nurse Practitioner 614-446-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |