| NPI | 1245917392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER STEWART-MODIC Np 614-374-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |