| NPI | 1558885335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA IRENE RUSH Sole Member 614-859-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH NP10262) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |