| NPI | 1114325297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HOLSTEIN CEO 740-354-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I-1451293) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2022-05-05 |