| NPI | 1487516225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVONTE HARRIS Director 614-601-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |