| NPI | 1770230179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVALON BULTEMA ESPINOZA Clinical Social Worker 614-395-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2022-03-05 |