| NPI | 1649420258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN C ROESEL President 513-271-2862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35.090806) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2014-01-10 |