| NPI | 1790220291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOSTINE DANKWA Manager 614-804-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132780) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |