| NPI | 1134950280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WILSON Owner 614-370-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |