| NPI | 1356096283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI TOBIN Physician Assistant 740-360-6148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |