| NPI | 1083406482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITI MAYTON Executive Director 614-767-9538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-06-06 |