| NPI | 1033860283 |
|---|---|
| Doing Business As | CUSTOMIZED BEHAVIORAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY LAMONT RIVERS Owner 614-664-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-07-28 |