| NPI | 1295533149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRISAK HUSSEIN CEO 614-500-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |