| NPI | 1295241933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DEAN Administrator 614-706-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 208D00000X General Practice | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2024-02-29 |