| NPI | 1811697675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOURINE JOSEPHAT NYANGORO CEO 614-448-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-07-25 |