| NPI | 1386420560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSTINA DINDIOK CEO 614-218-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-01-26 |