| NPI | 1023219086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE FREY Executive Director 740-474-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 171M00000X) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |