NPI | 1104395227 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL VALENTINE CEO 740-260-2068 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |