| NPI | 1205157393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L WRIGHT Member 740-965-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OH 4876/T1590) |
| Enumeration Date | 2010-06-12 |
| Last Update Date | 2010-06-12 |