| NPI | 1477558641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN COONEY Administrator 614-566-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 171) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-04-09 |