| NPI | 1861102105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PETER GLENN Director Of Operations 614-427-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-06-30 |