| NPI | 1861369985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMIKA GORDON Managing Member 614-946-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |