| NPI | 1720641954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CLUM Owner 614-392-5933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2022-03-23 |