| NPI | 1447786447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LAMONT RIVERS Owner 614-664-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6935) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-11-09 |