| NPI | 1720883937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M COLON Program Director 614-233-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |