| NPI | 1548601818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE N. JONES Social Worker/Mental Health 614-257-5498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: OH S.0900647) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-10-31 |