| NPI | 1649453754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICTA O UDEAGBALA Medical Director 614-322-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OH OH6079) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2012-02-17 |