| NPI | 1831053503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BRYANT Owner 614-670-6252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |