| NPI | 1962257477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'RISHA JETER Nurse Practitioner 513-692-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |