| NPI | 1699040691 |
|---|---|
| Doing Business As | OHIO STATE UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA GENTILE Psychiatrist 614-539-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH RN.142283-NP) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |