NPI | 1962771394 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY LYNN MOORE Clinical Social Worker 614-398-1180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-12-13 |
Last Update Date | 2011-12-13 |