| NPI | 1851901417 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | ALETHA WISSLER TIPPETT Medical Director 513-891-3093 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |