| NPI | 1780065243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE E IMBROGNO Owner/President 937-449-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OH 35048194) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH 35.048194) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-22 |