| NPI | 1992421523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MARCHANT President 513-438-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-12-15 |