| NPI | 1750812657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JOHNSON Owner 614-655-4058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 123618) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |