| NPI | 1447911193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMARR BROWN Authorized Official 614-714-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |