NPI | 1053349738 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY BUSH Chief Operating Officer 513-794-5619 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2006-06-29 |
Last Update Date | 2020-08-22 |