| NPI | 1184295362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY RENEE BOGGS Professional Counselor 614-205-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |