| NPI | 1639060510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA TRENT-PELLOM Owner/CEO 614-593-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |