| NPI | 1679073563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE COOK Psychologist 614-323-0813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NH 809) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |