| NPI | 1992923791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A KISSINGER Medical Director 740-283-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OH 02-0256000) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-11-20 |