| NPI | 1114510674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ARBAUGH Compliance Manager 740-475-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |