| NPI | 1750912200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLYN BROWN Clinical Social Worker 614-219-9287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2022-11-25 |