Providian
NPI #1750517793 in Moraine, Ohio
Provider Information
- NPI Number
- 1750517793
- Entity Type
- Organization
- Organization Name
- Providian
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE MUSTARD SEED FOUNDATION
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Jun 4, 2009
- Last Updated
- Jun 4, 2009
Practice Location
Authorized Official
- Name
- MS. SHONDALE NICOLE ATKINSON
- Title
- C.E.O.
- Phone
- (937) 603-6643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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