| NPI | 1003085648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA KERNS CEO 614-420-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2025-03-20 |