| NPI | 1720163900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX R DUBIN Director Owner 614-322-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH 959) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 5519) |
| 208000000X Pediatrics (Licence: OH 35029221) | |
| 363L00000X Nurse Practitioner (Licence: OH RN169328 NP01025) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |