| NPI | 1225780687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE RICHARD BERK Managing Director 614-402-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |