| NPI | 1477953867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MOHR Director 740-653-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH 001346) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |