NPI | 1316739436 |
---|---|
Entity Type | Organization |
Authorized Contact | LA'BRENA SIMMONS Owner 614-625-9912 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-05-22 |
Last Update Date | 2025-07-17 |