| NPI | 1366029415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ SINHA Manager/ Owner 614-792-6242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-02-09 |