| NPI | 1336538206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JAMES Chief Executive Officer 567-316-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 01-7525) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2019-01-03 |