| NPI | 1538954474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODETTE ANENG NGALLA Nurse Practitioner 513-476-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |