| NPI | 1609751049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HICKS WATSON Managing Member 614-805-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |