| NPI | 1194530519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINIQUA R COPELAND Mgr/Owner 614-496-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-03-24 |