| NPI | 1053764464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOYA LYNN ALEXANDER Director 614-322-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: OH 2559646) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |