| NPI | 1902512122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DEAN Admin 614-706-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |