| NPI | 1700431657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICJA MATUSIAK Sole Member / Director 614-371-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-10-22 |