| NPI | 1396262747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY M COMPTON President/CEO 234-208-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH E1600067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2020-12-15 |