| NPI | 1770178089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MWAWAZA MFIKIRI SANYIKA Owner 614-418-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-11 |