| NPI | 1124563804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY C TODD CEO 614-595-7729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH PSYCHOLOGY 6095) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2021-02-24 |