| NPI | 1134927213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WEBER Owner 614-400-9848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |