| NPI | 1487491122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN'NEASHA LASHAN ELLERSON Owner/Clinical Coordinator 614-532-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-11-03 |