| NPI | 1265631089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J ALAN LOUGEAY Practice Administrator 614-324-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |