| NPI | 1073366100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MEDVEC CEO 614-900-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |