| NPI | 1538618715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANA BALIC Owner 614-717-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.124474) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2020-01-15 |