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 |