| NPI | 1235626524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON SHIPE CFO 740-477-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-03-05 |