| NPI | 1861104374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE LOWE Director, Provider Enrollment 513-952-5210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2024-05-09 |