| NPI | 1588261929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICJA MATUSIAK Owner/Provider 614-371-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2023-01-30 |