| NPI | 1275867426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAL HOGAN President 614-476-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: OH 0807) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |