| NPI | 1821367145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HAYES Clinical Social Worker 614-398-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH I0900163-S) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |