| NPI | 1225747488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHIA NICHOLE JORDAN Addiction Nurse Practitioner/Owner 513-795-6972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |