| NPI | 1760251995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BROADNAX Owner 614-401-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |