| NPI | 1578139317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GHILONI Owner 614-354-5472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-10-29 |