| NPI | 1881686293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEE HUNTER Administrator 740-566-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0756AS) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2020-08-22 |