| NPI | 1376043893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BOLTON Licensed Professional Counselor 614-570-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |