NPI | 1083300172 |
---|---|
Entity Type | Organization |
Authorized Contact | DESHAWN WHITE Executive Leadership 614-806-3075 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
261QD0000X Clinic/Center, Dental | |
261QM0850X Clinic/Center, Adult Mental Health | |
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2023-04-12 |
Last Update Date | 2023-04-12 |