| NPI | 1538586144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE JENKINS Sole Incorporator 614-321-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 69215) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |