| NPI | 1841698669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE ROBERT RICHARDS Principal/Owner 614-841-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 34.005463) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2023-11-16 |