| NPI | 1801676887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHOGANEY MCKINNEY Member 614-369-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2024-12-06 |