| NPI | 1336544634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MOHR Dirictor 614-752-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 021254) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |