| NPI | 1831541481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE POLLOK Sole Proprietor 614-842-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-12-12 |