| NPI | 1942908488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARKO CEO/Nurse Practitioner 614-578-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2024-01-17 |