| NPI | 1316270879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD Y MOUSA Owner 740-383-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OH 35092078) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2017-08-03 |