| NPI | 1528670346 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRANDI ALEXANDRIA MARTINEZ Nurse Practitioner 513-616-8774  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2020-08-21 | 
| Last Update Date | 2025-04-18 |