| NPI | 1164235974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY PALMER Authorized Official 614-681-0616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |