| NPI | 1447821665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CLARK Chief Operating Officer 614-867-3681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |