| NPI | 1033554910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KLUCHUROSKY Program Manager 614-355-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OH AT-001784) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |