| NPI | 1306229612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN ME LETTVIN General Partner 740-772-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-09-25 |