| NPI | 1821632126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARONICA FREEMAN Billing Manager 513-260-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |