| NPI | 1144732348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY RITTER Credentialins Specialist 740-773-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-11-03 |