| NPI | 1720407455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORAIN SMITH Program Administrator 614-898-8714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |