| NPI | 1184052227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOL V BOWEN Owner 614-899-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH E0700105) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |