| NPI | 1336436153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GARCIA President 614-537-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 34.003736) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OH 34.003736) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2015-09-02 |