| NPI | 1477308088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID STOSMAN Co Owner 513-885-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |