| NPI | 1255671756 |
|---|---|
| Doing Business As | DBA OHIO CLINIC FOR PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | ROXANNE JIVIDEN CEO 614-449-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 12-2479) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-08-23 |