| NPI | 1245290436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL RITTER Billing/Medical Records Administrat 614-324-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 1183) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH 1183) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-10-11 |