| NPI | 1427803584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'RISHA RONA'E JETER Nurse Practitioner 513-531-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-07-28 |