| NPI | 1275411258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMYNE LOGAN Adminisration 614-634-0195 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-28 |