| NPI | 1811410210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA L EDLER Clinical Therapist 614-209-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH I.1451189) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH I.1451189) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |