| NPI | 1538122957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL RAY CANTRELL Administrator 513-947-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0587AS) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2011-04-12 |