| NPI | 1316638034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BRUMFIELD Billing Specialist 740-550-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-09-06 |