| NPI | 1083432280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO M AMIGO President 614-403-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-11-23 |