| NPI | 1831182922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B KITTREDGE President 614-237-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2012-05-17 |