| NPI | 1154551802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY WHITE President/Owner 614-453-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35072866) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |