| NPI | 1811560899 |
|---|---|
| Doing Business As | PROVIDERS FOR HEALTHY LIVING |
| Entity Type | Organization |
| Authorized Contact | MATTHEW LOWE CEO 614-664-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |