| NPI | 1497237234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DEAN Administrator 614-706-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |