| NPI | 1235823931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY DANEC Owner 614-618-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-10-18 |