| NPI | 1104198597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WELLS FRIDAY Owner 614-501-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 4081) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |