| NPI | 1114484961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURT DHIRA CEO 614-389-3030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-05-01 |