| NPI | 1992214589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ONYINYECHI URADU Medical Director 740-414-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OH 35.088677) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |