| NPI | 1710483268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADENA JANIECE COLEMAN Paraprofessional 614-828-7980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |