| NPI | 1245081025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB ELLZEY Executive Director 614-327-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |