| NPI | 1942013818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GRABER Licensed Psychologist 614-333-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-04-14 |