| NPI | 1538044680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY JO CONLEY Owner 614-949-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |