| NPI | 1689075863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L COVA Owner 937-433-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OH 34007858) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2018-03-02 |