| NPI | 1912593716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYLA SMITH Owner 513-212-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2022-07-12 |