| NPI | 1629340914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERYCK D'ARCY RICHARDSON President 614-888-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 2950) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH 2950) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |