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