| NPI | 1376377432 |
|---|---|
| Other Name | COLUMBUS DIAMONDS |
| Entity Type | Organization |
| Authorized Contact | TYEISHA PARKS Owner 614-597-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2025-01-22 |