| NPI | 1457652513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD K CAVENDER Medical Director 614-939-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35066429C) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2021-12-13 |