| NPI | 1356020515 |
|---|---|
| Doing Business As | HOMELAND CLINIC |
| Entity Type | Organization |
| Authorized Contact | KINGSLEY EYONG ENOW Supervisor 614-715-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-04-19 |