| NPI | 1710445663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASSIN MATAN President 614-588-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2021-02-01 |