| NPI | 1205014438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J PLATT Owner 740-594-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OH 34 004801) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-12-02 |