| NPI | 1972992576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH HAMBOR President/Owner 614-787-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH I0003808) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH I0003808) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |