| NPI | 1255835666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON EDWARD FOLEY Owner 614-634-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-01-17 |