| NPI | 1407310576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEWIS President 614-766-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2022-03-07 |