| NPI | 1679029318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS E. COOPER COO 513-616-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 0000146) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA 140008) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA 140335) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA 130975) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC 991775.3) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 0006084) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN294057) | |
| 164W00000X Licensed Practical Nurse (Licence: OH PN131023) | |
| 207Q00000X Family Medicine (Licence: OH 35.072050) | |
| 207R00000X Internal Medicine (Licence: OH 35076827) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH 35039200) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-10-07 |