| NPI | 1659174613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY WHITE Director 614-962-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2026-03-23 |