| NPI | 1609527522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELETTE FAIR Assistant Director Of Operations 614-987-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-01-18 |