| NPI | 1659001006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEKE ATABONG Pmhnp Bc 614-779-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |