| NPI | 1083982011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HOWARD ALLEN President 513-310-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 39480) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |