NPMIKE01

COLUMBUS, OH
NPI1538940929
Entity TypeOrganization
Authorized ContactMICHAEL A HODGE
Owner
347-451-2739
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-10-11
Last Update Date2023-11-08
Business Address
NPMIKE01
1500 S HAMILTON RD STE E
COLUMBUS, OH 43227-2414
Phone number: 855-676-4531
Mailing Address
NPMIKE01
PO BOX 27611
COLUMBUS, OH 43227-0611
Phone number: 855-676-4531