| NPI | 1730813353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEUDONNE METOMBE Director 513-371-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |