| NPI | 1265276505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA NDEMATEBEM Owner 614-655-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |