| NPI | 1285290049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NIKOL BRINKDOPKE Director Of Compliance And Performa 513-752-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |