| NPI | 1215177449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LYNN BANKS-MASON Administrative Director/Therapist 614-436-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2010-05-01 |