| NPI | 1184980625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HOLSTEIN CEO 740-355-8686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2025-06-12 |