| NPI | 1376378687 |
|---|---|
| Doing Business As | OSU-AJ GROW WELL HEALTH, LLC. |
| Entity Type | Organization |
| Authorized Contact | PATRICIA KATHLEEN WINDLE Manager 918-561-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |