| NPI | 1063932119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICJA MATUSIAK Owner/Provider 614-371-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-01-30 |