| NPI | 1134832645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH IWUAFOR Provider/CEO 614-284-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 202D00000X Integrative Medicine |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2025-09-17 |