| NPI | 1699516401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA CARROLL President 614-644-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |