| NPI | 1467200469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEONKEI M GIVNER Owner 614-500-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |