| NPI | 1447673587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY GUNACAR Dr 513-770-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 30023423) |
| Enumeration Date | 2014-01-25 |
| Last Update Date | 2014-01-25 |