| NPI | 1669139572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA NICOLE MARTIN Social Worker 614-598-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-11-27 |
| Last Update Date | 2021-11-27 |