| NPI | 1265276505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA NDEMATEBEM Owner 614-445-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2025-09-04 |