| NPI | 1700870623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A MONDARY Administrator 513-624-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0499AS) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |