| NPI | 1265933774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA J CANTU Owner 614-551-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH E0500942) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |