| NPI | 1467970483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA DEAN Admin 614-706-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-03-13 |