NPI | 1164018495 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WEAVER Senior Manager 614-880-8686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-12-21 |
Last Update Date | 2024-10-07 |