| NPI | 1720508146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVANA BALIC President 614-569-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.124474) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |