| NPI | 1841412897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT W. SCOVERN Clinical Psychologist 614-562-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OH 3499) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-10-01 |