| NPI | 1093117541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN REILLY Executive Director 614-885-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH E.0701148) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |