| NPI | 1225865082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE PETERSON CEO 614-822-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-09-18 |