| NPI | 1750697629 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | ALETHA W TIPPETT Medical Director 513-891-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH OH35074933) |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2020-07-31 |