| NPI | 1306009113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE JACOBS Credentialing Specialist 513-939-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH E0002968) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |