| NPI | 1346695574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJATA PONAPPA Proprietor 614-370-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH M.1400031) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-11-04 |