NPI | 1306425657 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY JUNKIN Office Administrator 614-682-2950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2021-04-19 |