| NPI | 1841709474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ANNE KENT Owner 614-595-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 66.000022) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2018-03-17 |