| NPI | 1780397380 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | CHRISTABEL ABENA AHENKAN Provider 614-515-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-06-02 |