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 |