| NPI | 1922969658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRASHEKAR CHALUMALLA Managing Employee 614-327-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-22 |