| NPI | 1245802537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ERIC PITTS Executive Director 740-289-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |