| NPI | 1114802063 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | TAMESKA NEWTON Co Owner 614-735-7214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-09 |
| Last Update Date | 2025-08-09 |