| NPI | 1639771975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKENGAFAC ETCHI Np 614-584-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-03-17 |