| 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 |