| NPI | 1760930853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE WEST Office Manager 614-407-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-04-01 |