| NPI | 1376713289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PHILIP DECOLA Director Of Clinical Services 614-292-9484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 5678) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-06-17 |