| 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 |