| NPI | 1689238388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PARKER Manager 513-847-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QA0900X Clinic/Center Amputee |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP2300X Clinic/Center Primary Care | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2025-03-25 |