| NPI | 1982168084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIA EVANS Executive Director 614-404-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |