| NPI | 1518386739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES STOLTZ Treasurer 513-530-1808 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-10-29 |