| NPI | 1811774623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE XU Owner 614-822-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-01-09 |