| NPI | 1780122549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI WONGCHAOWART Owner 614-800-5647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 84957) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |