| NPI | 1528689197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE EDMISTON Licensed Independent Social Worker 614-407-5312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |