| NPI | 1932958204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L CLUTS Systems Analyst 614-487-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-06-17 |