| NPI | 1306307756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL HALL Fiscal Director 740-439-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-11-16 |