| NPI | 1194140921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE MEADOWS Owner 614-233-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH I1101245-SUPV) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2023-07-26 |