| NPI | 1144688805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM OWENS Executive Director 614-268-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |