NPI | 1184174682 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON EDWARD STURGEON Medication Therapy Clinic Manager 220-564-1898 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 03325440) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2016-10-07 |