| NPI | 1386879393 |
|---|---|
| Other Name | THE CHARLESTON CLUB |
| Entity Type | Organization |
| Authorized Contact | HUGH B CLARK CEO 513-755-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |