| NPI | 1811711385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANJAI M STUCKEY CEO 614-266-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 133N00000X Nutritionist | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |