| NPI | 1801767728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBAN A WARSAME Administrator 614-806-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |