| NPI | 1265827539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA KOLB Executive Director 614-300-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 101YA0400X) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2018-04-16 |