| NPI | 1447884077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANTA BERETAY Np/CEO 614-226-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-06-30 |