| NPI | 1194773317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LUCAS Executive Director Osu & Harding 614-293-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-05-31 |