| NPI | 1295708246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A ERDEY Medical Director 614-864-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 0573AS) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2009-01-05 |