| NPI | 1396125043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMPLE T ELLIS Licensed Independent Social Worker 614-354-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH I.1100139-Supv) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-08-11 |