| NPI | 1932169497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CARR CFO 614-225-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 0300) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OH 6723, 3040) |
| 261Q00000X Clinic/Center | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH 0300) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 0300) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-01-22 |