| NPI | 1518182666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R. MIZENKO President 614-421-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 34004168) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-07-17 |