| NPI | 1326758558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A WHITAKER Rendering Provider 614-774-8307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |