| NPI | 1629587126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M LUIS Clinical Psychologist 614-436-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 6721) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2022-07-21 |