| NPI | 1770295032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAFISA IBRAHIM Practice Owner 614-900-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-02-22 |