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 |